Bmc Med
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Meta Analysis
Engaging patients in de-implementation interventions to reduce low-value clinical care: a systematic review and meta-analysis.
Many decisions regarding health resource utilization flow through the patient-clinician interaction. Thus, it represents a place where de-implementation interventions may have considerable effect on reducing the use of clinical interventions that lack efficacy, have risks that outweigh benefits, or are not cost-effective (i.e., low-value care). The objective of this systematic review with meta-analysis was to determine the effect of de-implementation interventions that engage patients within the patient-clinician interaction on use of low-value care. ⋯ Open Science Framework (https://osf.io/6fsxm).
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Review Meta Analysis
Beta-blocker efficacy across different cardiovascular indications: an umbrella review and meta-analytic assessment.
Beta-blockers are widely used for many cardiovascular conditions; however, their efficacy in contemporary clinical practice remains uncertain. ⋯ Beta-blockers substantially reduce mortality in HF patients in sinus rhythm, but for other conditions, clinicians need to weigh up both benefit and potential risk.